case study

Week 7 Case Study Paper

Choose one of the cases below for your report and include the following:

• A thorough understanding of the topic

• A critical assessment of all questions

• At least two differential diagnoses, if applicable

• At least two pharmacologic treatment modalities, if applicable

• A well-developed treatment plan

• A thorough patient education plan

The body of your paper needs to be 3-4 pages long. This does NOT include the title

page and reference page. Papers that are more than 4 pages long will not be accepted.

You must reference a minimum of two scholarly sources on your paper.

Use current APA format to style your paper and to cite your sources. Integrate your

sources into the paragraphs and use internal citations pointing to evidence in the

literature and supporting your ideas.

Be sure to allow time for editing and proofreading.

Review the rubric for more information on how the assignment will be graded.

NURS_664B_DE - Case Study Paper Rubric

NURS_664B_DE - Case Study Paper Rubric

Criteria Ratings Pts

This criterion is linked to a Learning Outcome Case Review

25 to >23.0 pts Accomplished Demonstrates a sophisticated understanding of the topic(s) and issue(s). Provides a rich and detailed explanation to the questions. Description leaves the reader with a “holistic” picture of the patient’s history, diagnosis, management, treatment, and/or education.

25 pts

This criterion is linked to a Learning Outcome Analysis of Findings

35 to >32.2 pts Accomplished Provides an in- depth, critical analysis of case study activity findings together with appropriate literature. Student insightfully and appropriately connects findings to specific clinical concepts, using carefully selected quotes, principles, and/or theories cited from course readings.

35 pts

This criterion is linked to a Learning Outcome Application and Evaluation

35 to >32.2 pts Accomplished Consistently Illuminates knowledge and insights to be gained from case study. Discusses specific ways reader can use “lessons learned” in future clinical practices, outlining specific concrete action steps he/she recommends.

35 pts

This criterion is linked to a Learning Outcome Organization

15 to >13.8 pts Accomplished Presents ideas thoughtfully and in-depth. Ideas are coherently and logically organized. Has an effective writing style, marked by language that is free from errors in mechanics, usage, and sentence structure.

15 pts

This criterion is linked to a Learning Outcome Evidence- based Research

15 to >13.8 pts Accomplished Supplements case study with relevant and appropriate research into the present case study; clearly and thoroughly documents all sources of information.

15 pts

This criterion is linked to a Learning Outcome APA and Mechanics

15 to >13.8 pts Accomplished The assignment consistently follows current APA format and is free from errors in formatting, citation, and references. No grammatical, spelling, or punctuation errors. All sources are cited and referenced correctly.

15 pts

Total Points: 140

Case Study #2: Gynecologic Abnormalities

Gladys, a 75-year-old woman, G5P5, presents for an annual exam and reports a “fullness” in her vagina.

She notices her symptoms more when she is standing for a long time. This feeling is bothersome and is

affecting her daily activities. She does not complain of urinary or fecal incontinence. She has not

experienced any vaginal bleeding. Her past medical history is significant for well-controlled hypertension

and chronic bronchitis. She has never had surgery.

Pelvic exam reveals normal appearing external genitalia except for generalized atrophic changes. The

vagina and cervix are without lesions. Relaxation of the anterior and posterior vaginal wall is noted to

approximately one centimeter beyond the vaginal opening when she is asked to Valsalva. The cervix also

descends to that level with Valsalva. The uterus is normal size. The ovaries are not palpable. No rectal

masses are noted. Rectal sphincter tone is slightly decreased.

1. What are the most important support mechanisms for the pelvic organs?

2. What increases this patient’s risk for pelvic organ prolapse?

3. What are the different types of pelvic organ prolapse?

4. What are the steps in evaluating someone with prolapse?

5. What are treatment options you should discuss with this patient?

6. When is surgery indicated for prolapse?

This is not soap note